CMS Medication Administration, Management, and Safe Opioid Use (W5033)-CMS Medication Administration, Management, and Safe Opioid Use Recording

Video Transcription

Video Summary

In this comprehensive session, Ms. Laura Dixon, an experienced nurse and attorney specializing in risk management and patient safety, addresses critical aspects of medication administration in hospitals, focusing on compliance with CMS regulations and patient safety. She emphasizes the importance of following policies and procedures, particularly regarding opioid use, medication storage, blood administration, and IV medication protocols. Topics include the expiration of COVID-19-related emergency preparedness exemptions, the conditions of participation for Medicare/Medicaid, and the role of nursing, pharmacy, and medical staff in safely preparing and administering medications. Laura highlights common deficiencies found during surveys, such as failure to verify patient identity before blood transfusion or improper medication labeling.<br /><br />The presentation covers standards for ordering, transcribing, dispensing, administering, and monitoring medications, underscoring the necessity of staff training and competency documentation. She discusses timing categories for medication administration (time-critical, 1-hour window, and 2-hour window) and the need for appropriate monitoring to detect adverse drug events, especially with high-alert medications like opioids. The session includes guidance on safe injection practices, compounding medications, and the special risks related to post-op opioid administration, including continuous monitoring and use of sedation scales.<br /><br />Additionally, Laura stresses the importance of addressing opioid misuse, including identifying risky prescribing practices and collaborating with legal and quality assurance teams. She reviews federal initiatives to combat opioid abuse and offers a case study to emphasize monitoring, visitor control, and patient education to prevent overdose. Throughout, she encourages use of evidence-based guidelines, multidisciplinary collaboration, and adherence to state laws to promote medication safety and reduce errors in healthcare settings.

Keywords

medication administration

patient safety

CMS regulations

opioid use

medication storage

blood administration

IV medication protocols

COVID-19 emergency exemptions

Medicare Medicaid conditions

nursing pharmacy collaboration

medication labeling

opioid misuse prevention